Individual
JOANNE HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10427 NORTH ST STE 201, FAIRFAX, VA 22030-2592
(571) 383-2540
Mailing address
3921 BLENHEIM BLVD, FAIRFAX, VA 22030-2429
(571) 268-2226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904017230
VA
1041S0200X
School Social Worker
Primary
PPS0608050
VA
Other
Enumeration date
05/01/2023
Last updated
12/04/2025
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